JACQUELINE A DECOSTA - Pharmacist License in Illinois | # 049086689

JACQUELINE A DECOSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086689

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE A

Last Name

DECOSTA

Business Name

JACQUELINE A DECOSTA

Original Issue Date

05/14/1988

Effective Date

05/14/1988

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005